Individual
DR. BRADLEY M BACIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3907 LANKENAU AVE, PHILADELPHIA, PA 19131-2808
(215) 796-1223
(215) 878-1379
Mailing address
9501 ROOSEVELT BLVD STE 501, PHILADELPHIA, PA 19114-1030
(215) 796-1223
(215) 878-1379
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MB07578600
NJ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
OS-012698
PA
Other
Enumeration date
06/23/2006
Last updated
03/21/2013
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